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psnet.ahrq.gov/node/36992/psn-pdf
September 14, 2011 - Effect of an anonymous reporting system on near-miss
and harmful medical error reporting in a pediatric
intensive care unit.
September 14, 2011
Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error
reporting in a pediatric intensive care unit. J Nurs Care Qual. 2007;22…
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psnet.ahrq.gov/node/48185/psn-pdf
August 28, 2019 - Addressing the elephant in the room: a shame resilience
seminar for medical students.
August 28, 2019
Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience
Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000000000002646.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/44087/psn-pdf
November 16, 2015 - Teaching a 'good' ward round.
November 16, 2015
Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138.
doi:10.7861/clinmedicine.15-2-135.
https://psnet.ahrq.gov/issue/teaching-good-ward-round
Ward rounds, while an important educational activity, may not receive the attent…
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psnet.ahrq.gov/node/44848/psn-pdf
April 22, 2016 - Ambulatory medication reconciliation: using a
collaborative approach to process improvement at an
academic medical center.
April 22, 2016
Keogh C, Kachalia A, Fiumara K, et al. Ambulatory Medication Reconciliation: Using a Collaborative
Approach to Process Improvement at an Academic Medical Center. Jt Comm J Qual …
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psnet.ahrq.gov/node/839824/psn-pdf
November 09, 2022 - Improving diagnostic decision support through deliberate
reflection: a proposal.
November 9, 2022
Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal.
Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062.
https://psnet.ahrq.gov/issue/improving-diagnostic-de…
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psnet.ahrq.gov/node/43758/psn-pdf
March 17, 2015 - A patient safety checklist for the cardiac catheterisation
laboratory.
March 17, 2015
Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory.
Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927.
https://psnet.ahrq.gov/issue/patient-safety-checklist-card…
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psnet.ahrq.gov/node/46963/psn-pdf
April 18, 2018 - A Just Culture Guide.
April 18, 2018
NHS Improvement. London, UK: National Health Service; March 15, 2018.
https://psnet.ahrq.gov/issue/just-culture-guide
Although focusing on system failure has been highlighted as key to improving patient safety, individual
behaviors must also be recognized as contributors to ris…
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psnet.ahrq.gov/node/40214/psn-pdf
March 30, 2011 - Can teaching medical students to investigate medication
errors change their attitudes towards patient safety?
March 30, 2011
Dudas RA, Bundy DG, Miller MR, et al. Can teaching medical students to investigate medication errors
change their attitudes towards patient safety? BMJ Qual Saf. 2011;20(4):319-25.
doi:10.11…
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psnet.ahrq.gov/node/39156/psn-pdf
April 17, 2011 - Understanding interdisciplinary health care teams: using
simulation design processes from the Air Carrier
Advanced Qualification Program to identify and train
critical teamwork skills.
April 17, 2011
Hamman WR, Beaudin-Seiler BM, Beaubien JM. Understanding interdisciplinary health care teams: using
simulation des…
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psnet.ahrq.gov/node/43622/psn-pdf
December 19, 2014 - Checklist usage decreases critical task omissions when
training residents to separate from simulated
cardiopulmonary bypass.
December 19, 2014
Petrik EW, Ho D, Elahi M, et al. Checklist usage decreases critical task omissions when training residents
to separate from simulated cardiopulmonary bypass. J Cardiothorac…
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psnet.ahrq.gov/node/50761/psn-pdf
December 18, 2019 - ‘Largest maternity scandal in NHS history’: Dozens of
mothers and babies died on wards of hospital trust,
leaked report reveals
December 18, 2019
Lintern S. The Independent. November 18, 2019.
https://psnet.ahrq.gov/issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards-
hospital-trust
…
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psnet.ahrq.gov/node/43302/psn-pdf
August 21, 2014 - A medication-based trigger tool to identify adverse events
in pediatric anesthesiology.
August 21, 2014
Taghon T, Elsey N, Miler V, et al. A medication-based trigger tool to identify adverse events in pediatric
anesthesiology. Jt Comm J Qual Patient Saf. 2014;40(7):326-334.
https://psnet.ahrq.gov/issue/medication-…
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psnet.ahrq.gov/node/47906/psn-pdf
August 21, 2019 - Creating a just culture: the Ottawa Hospital's experience.
August 21, 2019
Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc
Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303.
https://psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-ex…
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psnet.ahrq.gov/node/47131/psn-pdf
July 18, 2018 - Good Catch Campaign: improving the perioperative
culture of safety.
July 18, 2018
Lozito M, Whiteman K, Swanson-Biearman B, et al. Good Catch Campaign: Improving the Perioperative
Culture of Safety. AORN J. 2018;107(6):705-714. doi:10.1002/aorn.12148.
https://psnet.ahrq.gov/issue/good-catch-campaign-improving-peri…
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psnet.ahrq.gov/node/42961/psn-pdf
February 19, 2014 - Healthcare-associated infections: a national patient safety
problem and the coordinated response.
February 19, 2014
Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the
coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.1097/MLR.0b013e3182a54581.
https://psne…
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psnet.ahrq.gov/node/41810/psn-pdf
January 31, 2018 - Toolkit for Reduction of Clostridium difficile Infections
Through Antimicrobial Stewardship.
January 31, 2018
Boston University School of Public Health. Rockville, MD: Agency for Healthcare Research and Quality;
September 2012. AHRQ Publication No. 120082EF.
https://psnet.ahrq.gov/issue/toolkit-reduction-clostridi…
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pso.ahrq.gov/pso/child-health-patient-safety-organization-inc-0
May 13, 2009 - SHARE:
More topics in this section
Return to Delisted PSOs Search
Child Health Patient Safety Organization, Inc.
PSO Number: P0065 Components of Parent Org(s):
Child Health Corpor…
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www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdpa12114.html
June 01, 2018 - Infrastructure Development Program in Patient-Centered Outcomes Research (PCOR)
AHRQ Training Projects Funded by PCOR Trust Fund
PA-12-114
This initiative funds a 5-year, renewable effort to support the development of PCOR capacity among institutions that have basic health services research capacity but nee…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/white-paper-framework-for-conceptualizing-evidence-needs_0.pdf
December 01, 2017 - services defined by a clinical intervention,
health condition, or population group.27
Others described initiatives … development,
health technology
assessment (KPSC and
KP National) and
evidence-based
implementation initiatives … reviews followed by consensus process
• How to address inequalities/disparities in public health
initiatives … Commentary: notes need for evidence to inform precision medicine
initiatives and implementation strategies … process of
care
• Implementation through quality improvement and computerized
decision support initiatives
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/registries-forums_research_0.pdf
May 01, 2014 - These initiatives have effectively created a community
of practice around communities of practice. … Such related activities could also be supported by
other CoP members and institutions or related initiatives … include providing the definition of a
patient registry), differentiate the CoP from other existing initiatives … The charter should define the CoP’s purpose and scope,
differentiate the CoP from other existing initiatives … Collaboration with existing networks or initiatives and leveraging existing resources on registry
best